HomeMy WebLinkAbout3449 MEADOW BROOK - Building Permits(714) �54•5273 • Fa�c (714) 754-4856 • www.cl.costa-mesa��CTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 3449 MEADOW BROOK
Suite No
Viciniry:
Parcel Nunmber: TPN00582
Applicant: STEVE ROQUEMORE
Address: 25612 COMMERCENTRE DR
LAKE FOREST, CA � �/ �� -
Owner:
Address
i
/,
Contractoc
Address:
= Phone: 949-888-2340
' _ Zip � 92630 �
VILL,4GE CREEK HOA '
,-C/O AMBER PROPERT.Y MANAGEMENT - _
LADERA�RANCH,CA ' ,. Phone:
'� 28 DAISY ` Zip:
/ ,-i: .
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. \���/•
SUNDOWN.L'IGHTING INCORPOR
"��-
25612 COMMERCENTRE DR
Status: ISSUED
Applied: 09/06/2005
Issued: 09/O6/2005
ISSUED BY:
949-420-0373 � . � . . . . .
92694 - � � . .
�' � �
�`� �� �.
i
" Phone: 949-888-2340
- IAKEFOREST, CA Zip: -92630 �
� � . �'��License:479677 � �
,
` ...-. . ' $COPE OF PERMIT �1 ;
. .,
� � �REPLACE EXISTING METERED PEDESTAL LOCATED AT THE CORNER OF MEADOW BROOK AND BEAR
CREEK.
� � � � ` � � �FEE SUMMARY � �
^� . �, , �� : ' �
� - Quantity �' % ', � `- -;' .G.. ;� `�' � : `� Quantity
ISSUE FEE $23.50 � � � � � - � � � �1,� �- Temp Dist System�/�Lighting� � $0.00 0
Temp service test $0.00 Busway /100 ft � $0.00 0
Res. a/c package $0.00 Standing Section , $0.00 0
New Res (1-2 units) „ $0.00 0 - Misc Eledrical�Equipment $0.00 0
New Res (3+units) $0.00 � 0. - � - - Transfortners up to 7-kva/kw -� $0.00 0 "
Pool / Spa $0.00 0 . . . ...............up to 10�kva/kw $0.00 0 , '
Lighting Firzts $0.00 0 .................up to 50 kva/kw $0.00 0%�
Recept Outlets � �', � $0.00 0 .............!up to 100 kva/kw . _ $0.00 0 r-',," ' " �
Switches � i ', �, � $0.00 ; '� 0 ............::..`..over 100 kva/kw $0.00 0 % / / -
Non Res Appl �� '��� � $0.00 , 0 Low Voliege Equipment $OAO ,0,� � ' '
Res Applj �, ' � ,� �- �• `� $0.00 � 0 . �:�Low Volt Wiring System / Ckt $0.00 ,!0� �� � �,
Serviceto200a '�. $30.50 1 „���'�'1��.'Misc:Conduit $0.00 �:��;0
�_
Service to 1000a l � � � $0.00 0 .� Y=� �' : � Misc. Condudor $O.OQc- ;-%� 0 � �- ,
Service over t000a ',�b0.00 0 '` � ,Circus ( yen or ride)- $0,00 =; 0 � .
Motors to 1 hp ', � • $0:00 „ ; - 0 ,c �'„ "., � . Circus (mech }ide or Ilghts);,; -; -c'$0.00: 0 � - - .
Morors to 10hp � - . $0.00�� , ., 0' � � � . 'ChPistmas Tree Sland �� ' - =$0:00 0 ' �
Motors to 50hp ' � � . '$0.00' , `,. 0 � � � Fireworks Stand -� � �$0.00-" �; 0 .
Motors to 100hp '- $0,00 - 0; - Other Electrical Fee $0 00� ��� . �
Motors over 100hp A � � $0.00 . �• � 0�:, � � ` � � �
Communication drops �� �'� $0 00 ��, 0 �� - ��, �� InvestigahorvFee� - - �$0 00-� � .
Subpanelto200a \\�� $0.00� - 0� . _- -PIan.Check�Fee�- \�� $0.00�/ ,
PoleLigMPkg \��$0.00 � � �0„� ReinspectionFee- � ',� C$000,;- % �
Sign Circuits V�$0.00� ' 0 � . . . / '_ �� � - " _ ' ` ' /,a-' �
Temp Pwr Pole �$0.00"��' , �� 0 ��, ; ' ' � TOTAL CALCULATED�FEES 554.00 "�-
Intermed Pole $0.00 0_ � ' � -� , . � , � . '
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetiona and final approval must be obtained. Failure to obtaln inspeclions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244E48 (fl�00)
WORKERS'COMPENSAnON DECLARAnON: �
I hereby affirm untler penelry oi perjury one of the following tleclarations:
❑ I heve end will mainteln e certificete of consent to self-Insure for workers' compensetion, espiovided �or by section 3700 of the Labor Cotla, for ihe peAortnance of the
work for which Ihis pertnil is issuetl. -.. L
G� I',have end will maintain workero' compensa0on insurance, es requiretl by sectlon 3700 of Ihe Lebor Code, tor the pertortnance of the work for which this pertnit I5 issued.
_/My workers' compensation I sura carner and policy number ere: /� p� /-7
C i" 1—Q.�iP�lb.. �G� Polic`y,Number: � w E 0/'7 (i 6 S /
�(�NIs section nee not be camp/eted il fhe permit is valued at one hunCred dollars ($100) or Ie55J
❑ 1 certity that in Ihe peAormence of the work for which ihis parmit is issued, I shall not employ any person in any manner so as to become subject to the workere'
compensalion laws of CalNamia, end egree t if I should become sub�act to the workars' campensetlon provislons of Seclion 3700 ai ihe Lebor Code, I shell tonhwith
_ comply,with these pro ; ' .
Aaoi��m sin�w�a �� r� oa�a;_ ``'D 9- O 6� o.�
WARNIN�: FAILURE TO SECURE WORKERS' G1�MPENSQ N COVEMGE IS UNLAWFUL AND SHALL SUBIECr AN EMPIOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
T110USAND DOILARE (5100.OW),IN ADDfTION TO THE COST OF Q'kAPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECfION 3lOfi OF THE LABOR CODE, INfEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm Ihal I am,licensed/� y(o sio Chapter 9(commencing with Section 7000) oi DMsion'3'ol ihe Buslness�rM/P�essions Cotle, end my license is In full
lorce,enAeNeit�Lic:q ' � �-7= `I � �--Cless�py'C�
CJo�r t�ec`°Y�s;s�gn e:-�—�:'v__��, �ma�.<o �oa��,: _."_%) 9==o�x • C� s
CONSTRUC710N LENDING AGENCY:
❑ I hereby aHirtn that there is e construction lentling agency for �he pertortnance of the work for which t�is permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lenders Address:
Signature:
Date:
OWNER-BUILDER DECLARA710NS:
I hereby eHirtn ihet untler penalry of perjury thef I em EXEMPT FROM TF1E CONTHACTORS LICENSE LAW for ihe following reason (Sec. 7037.5, Busineu end Protessions
Cotle: Any city or counry whic� requires e pertnit to construM, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires Ihe epDlicent tor such pertnit
to file e signetl statement ihat he or she is licensed Dursuent to the provisions ot Ihe Contrectors License Lew (Chapter 9(commendng with Sectlon 7000) of Dlvision 3 of ihe
Business end Professions Code) or thet he or she Is ezempt therefrom and the basis for the alleged exemption. Any Nolation of Section 7031.5 6y any applicent for a pertnit
sub�ects Ue apPlicent to e cMl penalry oi not more Ihen tive hundred dollars ($500).):
❑ I, es owner ot the property, or my employees with weges as their sole compensation, WILL DO T}iE WORK, end Ihe structure Is not Intended ar ofleretl for sele (Sec.
7044, Busineu antl Professions Code: The ContraMors License Law does not appty to an owner of property who builds or improves thereon, and who does such work
hlmseN or hersetl or through his or her own employees, provided �hat such improvements ere not intended or oHeretl for sale. If, howaver, ihe 6uilding or improvement is
soltl wit�in one year of completion, the owner-builder will have ihe burden of proving that he or she did not build or improve tor Duryose ot sale.). '
❑ I, as owner of the properry. em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS ro construct Ihe project (SecJ044, Business entl Profeuions
Cotle: The comrectors License Lew does not eppry to an awner ol property wha bullds or Improves thereon, entl w�o wnirecis for such projad wiN a contracror(s)
license pursuant to the Coniractors License Lews.j.
❑ I em exempt untlar sec. Business anA Professions Code for ihis reason:
Siqnature: Date:
Owner ID verifietl by tlrivefs license. ❑ Ves ❑ No Dnver's License No.
Veriflcation o1 Ownership by (type oi tlocument, i.e. - properry tex bill or deed):
F�cpires:
DIVISION OF INDUS7RIAL SAFE7Y PERMR CERTIFICATION:
❑ I hereby certily Ihat no excavation tiva (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authorizad by this
pertnit, end �hat no building sWctura, sceftolding, falsework, or tlemolitlon or tlismantling Iheraof, will be more ihan thir�y-six (36) feet high. (Chep. 32, Gry 2, Ar12, Sec.
341, Tqe 8, Calltomia Adminisirative Cotle).
❑ As owner-Euiltler, I will not emplay anyone to do work which would require e pertnit irom ihe Divisian at Industriel Safery, as notetl ebove, unlass such person has e
pertnit to do such work from the tlivision.
Signature: Date:
Division of Industrial Satery Pertnit Number:
CEHfiFlCATE OF COMPLIANCE AND AllfHOHQATON OF ENTRY: I certity untler penelty of perjury that I have rea0 this application an0 stata that the infortnation given Is
correct I egrae to comply with all stete laws entl Gry ordinences relating to builtling construction, end euthodze rapresentatives of the Ciry of Costa Meu to enter upon the
ebove-described property for inspection puryoses. I egree not to occupy or allow accupancy of eny builtling authorized by this pertnit until finel inspeclion.
CODE t. INSPECTIONTYVE pAIE IIiIlT1eL5
1616 Fl:ed System Flnal Fire Prevention
1286 Pool Spe Final
200 Final Re-Roof
201 Finel BIacWRetaining Wall
202 Finel Fectory Fire Plece
203 Finel Slpn
204 Flnel Demolitlon
�7
COUE I INSPECTIOX TYVE
206 Final Mechanical
20B Flnel Plumbing
210 Final Electncal
212 Final Fire Prevenlian
220
222
250
Final Plenning Approvel
Finel Site
Flnel BuilAinglOxupanry
PSIE It�IDELS
,
;
.-�u��ust 8. �00�
Village Cree4 HOA
.amber?;operty i�lana!�emeat
_3 Daisv
La�le:a Ranch, CA 9=594
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L-IG'Hi'IYG ':+ELcCTYIC.aL
:�ttn: lamie Hackwitch
Re: Mete: Pedesta( Renlacemeat
OUOT.�TtOI� OIY ,�IATER7,aLS A`�� L:�BOR
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Scope OY Wor?c
R�R]OVe the eY;stins 1'S-amo me:e: pedestal. usel forstream pumos. iha[ �R�S::OCCOCe;� �i7C'.�ORQ iPrillS.
install one ne•.v i"_'�-imp ste�! me:er pedestal •.vi�h test bloc'.<s required bv S.C.E.. «rounu rod and ne�.v
ore:il:er;. Connect wi:es and �est �or proper ope:a[ion :vnen compl�te.
�[aterials and Labor -
l L'�-amp Steei �teter Pedestal
�Nith Test Bloc'..s �Yc Ground Rod
. �Iis�. ��(aterials: condui[, wires_ iittim�s.
anchor �olts. oreakers. e[c...
,
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1=� :c
Sub �=.004.i-!
Ty�c l��.b:
L.100f � i �.7�)
Est.Parmi[s �Oi).DO
Totai S3.J33.??
Vote: `•'. i'. �. cun hure u small tee .�p u� 5=50. DO uncl is' nui nc?ttcie:l ln the abnve ,�ricz.
'.Vammr:: :�.II ma[z�als (I;vnos .:sduded) :mu !aoor unde: �.varr.mn' tor one �:ear arit: ins[aitatiun. '•,b'c :ue no[ resnunsii�ic :or ; �c
�on�i�iun or capaciry� oi :he csistin_ �oiearical sys[tm. hu[ �a�c �.viil nuie any proMems n�e [ind ;u �vurs is eomr,icmd. �unuown
!.i_ntins. :nc. is nut:espunsibie lix:uiy �:;mtialism tha[ ucc�rs ;:uring ur::tter installatiun ui materiais. 'nc: yuute:; ;ve rouJ riir _0
daps. Lin• ;'e:mits i iFreyuired)::re inciutieti in :he abuv� yweativa :\II iarse rnnswe�ion ur iiehting uoerce �roiects require::?��°6
;natcruls;icnosit. iio��t�:cr �.ca can oi7cr :k�iok czrtns il�ntcdc:i. �'OTc: all vcnchin_:u�ii undtr,rnunu'.vurR •,��iil be �:c.^.brtne:i in 1
neat and �.�orRm�nlr.e inanne;. lVa �siil attemp� m repluct all pianter an<i ,urf arcac haick to nrisinai con�itiun :ri tlosc :a oussibic.
i:u�veaer. �.vc .rc nut responsiolc ior ni;uu items that hm�e :o be mmuvcti to perfortn our �.vori:. �Ilicrciorc. customer h;u :hc uotiun co
�.itilize meir !antiscare contrctor to �vun: :n eoniimctiun •.vi[h our elec:ncal cre•.v ui pro[ec[ ail landscaped are:s. In the �.:•: �.:�t •.ce �rc
�ot Rimi�ncU ::n unus_round imeauon'.�}-��uiit" pi:m. �.vc cannut hc resnunsibic Ibr dam��c in c::istims unuer^_�rouru :u::irmcm. �,vc
•.�iil notin cu�tomer snd oder w rcoair �h� dcmaez s� ininimum eust w tl:e cuswmcr. i�!u c;:;[umer L;s ,he �.�o:iun u(;:tiiizinc hcir
':lnuscaDe .:un[rc:or to peribr,a :uie �zpair �:;nri: needCti. � -
_�''J�_ ..T(.*?.C3^V9 �'�IVE. ._?r2 ' ...__�. �, 1�.�^.,.,. fQQ^� ?3.�.-'=�=.� "iX •1�%� .3A?'=�.., _......i.:� I��JT_... -� :'q"_